| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.66 | $8.66 | $9.24 | |
Aetna
| Professional | $8.66 | $8.66 | $20.73 | |
Cigna
| Professional | $8.66 | $8.66 | $17.63 | |
United
| Professional | $3.46 | $8.66 | $20.07 |
Acetylcysteine, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per g
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.66 | $8.66 | $9.24 | |
Aetna
| Professional | $8.66 | $8.66 | $20.73 | |
Cigna
| Professional | $8.66 | $8.66 | $17.63 | |
United
| Professional | $3.46 | $8.66 | $20.07 |